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A MEMORIAL UNIVERSITY OF NEWFOUNDLAND PUBLICATION
October 15, 1998
Photo hy (Thru I Uinmond
High seas
KY.v.:lil
ing Wbrid Cup will tike place ail La Trinity Sur La Mw, fiance, fcorn Oct. 21-31. Newtaurtdtand's, Team Catmk will
'•..i-moria! ami made up entirely oi Manorial fitudaits. Here, Sammy fei~Hawk joins the Ham on a cruise
Bap
New chair in child protection hopes to be ...
resource to the community
ftr Sharon Gray
{ chair of child pn>
l al Memorial says
: protection ol children
j funding programs
! and involves every-
I healthy communi-
l Barter, Social Work,
_^mMV of prat"licai experi-
p»i education to his new job.
ri raised in Newfoundland.
l arts degree w?ith a
t major at Memorial in
wed by a master of
at at the University of
11977, and a doctor of
v ai Wilfred Laurier
| in 1992. In the inter-
: worked in many
tcf tbe country. iiKluding lhe
{best Territories, in social
^■Bc served as regional
ices in P.L.I.
Raflf&-199*1 and has taught
t jtast three years at Lake-
flmmity.
Ilk past three years Eve
ii in theoretical
Dr. Ken Barter
research in the whole area of child
welfare, wilh a particular emphasis
on child protection." said Dr.
Baiter. "Drawing on my years of
experience in the field of child
welfare, ihe focus of my Iheoreti-
cal research, publications and
paper presentations is one of articulating the realities of practice as I
experienced them, contextualizing
these experiences based on the literature and research in child welfare, and combining both to formulate a conceptual framework
that could conceivably guide practices in child protection work."
Dr. Barter refers to this frame
work as one that places more
responsibility on the community.
"We need to build on lhe strengths
of the community to reclaim children and families at risk/1
Part of that building process
involves challenging the community about fundamental issues ot
poverty, discrimination, power-
Icssi icss. and lack of opportunity.
"We have to approach child
protection from a social justice
framework - we need a belter add
more equitable distribution of
resources."
Dr. Barter took up his new
position as chair of child protection at the beginning of September.
He is now working on connecting
to all sectors throughout the
province concerned with child protection. His job involves research,
teaching and community outreach.
111 need to find out how I can be
a resource to the community and
txgani/iitions concerned with child
protection so we can develop new
and innovative ways of responding
to the needs of children."
McGill principal says:
Re-invent health care
By Sharon Gray
In a rapidly changing world,
academic health care centres
must re-invent themselves in
order to remain relevant
ery. A model lo guide that process
was recendy proposed to an audience ot health care professionals
at Memorial by Dr, Bernard
Shapiro, principal and vice-chancellor of McGi 11 Uni
It is not i question of whether
your enterprise will change, hut
rather how. when and — most
importantly — by whom and at
what price?" said aDr. Shapiro during a noon hour talk Oct 9.
"Public expectations have
rarely been higher, and public confidence and support have rarely
been lower Complaints against the
academic health professions
include outmoded teaching models, fragmented fields of study,
trivialized scholarship, disregard
of patients except as subjects of
research or objects of professional
practice, conflicts of inierest and
falsification Of experiment!
results — to say nothing of the
continuing public stereotype of
physicians as self-indulgent, arrogant and rcsis.tanl lo change."
Dr. Shapiro said there is a vast
difference between what the
"internal" and "external" hcalih
caie markets consider important.
Phcrtoby I15IM5
Dr. Bernard Sh.ip.ro
"The internal market has succeeded in a vast overproduction of
specialists and a vast underproduction of everything else. There is a
disjunction between what people
inside feel would be helpful and
appropriate and what people outside believe they need and can
benefiifrom
In the current model of health
care, hospital facilities offer a
range of medical services within
confines of the institution. Dr.
Shapiro proposed a new model
that would involve a major revision of the role of hospitals in
society and a change in Lite manner in which they discharge their
mission.
He proposed three "continuities" lo redefine health care in the
future.
"The first conceptual shift —
perhaps easier for Memorial lo do
than for larger universities — is
not to think of hospitals as the central point of the restructuring
prtveess, but ralhcr a significant
component of the health care network. The network itself will
encompass the entire spectrum of
care from primary cure in the com
munily through to advanced care."
Dr. Shapiro said one centre
will need to assume responsibility for continuity of care for
patients
'Tor ihis to actually happen,
the academic health science centre might be the one that has to
accept the responsibility. But we
would need a far more robust
communication system travelling
wilh the individual who needs
care than we have now."
The second continuity defined
by Dr, Shapiro is to provide care
from health to illness back to
health.
"This implies an added
responsibility to re-introduce the
patient back into society and the
workplace once the condition
has been adequately treated."
And the third continuity Dr.
Shapiro identified is progression
through the life cycle.
"The range of commitment of
the university health care centre
to the enure range of care from
pediatric lo geriatric is not simply a matter of convenience, but
stems from an understanding
thai we cannot otherwise provide the highest quality of care
for the community nor generate
the critical mass of expertise that
such care requires."
Dr. Shapiro said Memorial's
Faculty of Medicine has a particular advantage in adopting ihis
model because it is less isolated
from the community than academic centres in larger centres. His
lalk was the third in a series of
anniversary lectures celebrating
the 30th anniversary of the medical school.

A MEMORIAL UNIVERSITY OF NEWFOUNDLAND PUBLICATION
October 15, 1998
Photo hy (Thru I Uinmond
High seas
KY.v.:lil
ing Wbrid Cup will tike place ail La Trinity Sur La Mw, fiance, fcorn Oct. 21-31. Newtaurtdtand's, Team Catmk will
'•..i-moria! ami made up entirely oi Manorial fitudaits. Here, Sammy fei~Hawk joins the Ham on a cruise
Bap
New chair in child protection hopes to be ...
resource to the community
ftr Sharon Gray
{ chair of child pn>
l al Memorial says
: protection ol children
j funding programs
! and involves every-
I healthy communi-
l Barter, Social Work,
_^mMV of prat"licai experi-
p»i education to his new job.
ri raised in Newfoundland.
l arts degree w?ith a
t major at Memorial in
wed by a master of
at at the University of
11977, and a doctor of
v ai Wilfred Laurier
| in 1992. In the inter-
: worked in many
tcf tbe country. iiKluding lhe
{best Territories, in social
^■Bc served as regional
ices in P.L.I.
Raflf&-199*1 and has taught
t jtast three years at Lake-
flmmity.
Ilk past three years Eve
ii in theoretical
Dr. Ken Barter
research in the whole area of child
welfare, wilh a particular emphasis
on child protection." said Dr.
Baiter. "Drawing on my years of
experience in the field of child
welfare, ihe focus of my Iheoreti-
cal research, publications and
paper presentations is one of articulating the realities of practice as I
experienced them, contextualizing
these experiences based on the literature and research in child welfare, and combining both to formulate a conceptual framework
that could conceivably guide practices in child protection work."
Dr. Barter refers to this frame
work as one that places more
responsibility on the community.
"We need to build on lhe strengths
of the community to reclaim children and families at risk/1
Part of that building process
involves challenging the community about fundamental issues ot
poverty, discrimination, power-
Icssi icss. and lack of opportunity.
"We have to approach child
protection from a social justice
framework - we need a belter add
more equitable distribution of
resources."
Dr. Barter took up his new
position as chair of child protection at the beginning of September.
He is now working on connecting
to all sectors throughout the
province concerned with child protection. His job involves research,
teaching and community outreach.
111 need to find out how I can be
a resource to the community and
txgani/iitions concerned with child
protection so we can develop new
and innovative ways of responding
to the needs of children."
McGill principal says:
Re-invent health care
By Sharon Gray
In a rapidly changing world,
academic health care centres
must re-invent themselves in
order to remain relevant
ery. A model lo guide that process
was recendy proposed to an audience ot health care professionals
at Memorial by Dr, Bernard
Shapiro, principal and vice-chancellor of McGi 11 Uni
It is not i question of whether
your enterprise will change, hut
rather how. when and — most
importantly — by whom and at
what price?" said aDr. Shapiro during a noon hour talk Oct 9.
"Public expectations have
rarely been higher, and public confidence and support have rarely
been lower Complaints against the
academic health professions
include outmoded teaching models, fragmented fields of study,
trivialized scholarship, disregard
of patients except as subjects of
research or objects of professional
practice, conflicts of inierest and
falsification Of experiment!
results — to say nothing of the
continuing public stereotype of
physicians as self-indulgent, arrogant and rcsis.tanl lo change."
Dr. Shapiro said there is a vast
difference between what the
"internal" and "external" hcalih
caie markets consider important.
Phcrtoby I15IM5
Dr. Bernard Sh.ip.ro
"The internal market has succeeded in a vast overproduction of
specialists and a vast underproduction of everything else. There is a
disjunction between what people
inside feel would be helpful and
appropriate and what people outside believe they need and can
benefiifrom
In the current model of health
care, hospital facilities offer a
range of medical services within
confines of the institution. Dr.
Shapiro proposed a new model
that would involve a major revision of the role of hospitals in
society and a change in Lite manner in which they discharge their
mission.
He proposed three "continuities" lo redefine health care in the
future.
"The first conceptual shift —
perhaps easier for Memorial lo do
than for larger universities — is
not to think of hospitals as the central point of the restructuring
prtveess, but ralhcr a significant
component of the health care network. The network itself will
encompass the entire spectrum of
care from primary cure in the com
munily through to advanced care."
Dr. Shapiro said one centre
will need to assume responsibility for continuity of care for
patients
'Tor ihis to actually happen,
the academic health science centre might be the one that has to
accept the responsibility. But we
would need a far more robust
communication system travelling
wilh the individual who needs
care than we have now."
The second continuity defined
by Dr, Shapiro is to provide care
from health to illness back to
health.
"This implies an added
responsibility to re-introduce the
patient back into society and the
workplace once the condition
has been adequately treated."
And the third continuity Dr.
Shapiro identified is progression
through the life cycle.
"The range of commitment of
the university health care centre
to the enure range of care from
pediatric lo geriatric is not simply a matter of convenience, but
stems from an understanding
thai we cannot otherwise provide the highest quality of care
for the community nor generate
the critical mass of expertise that
such care requires."
Dr. Shapiro said Memorial's
Faculty of Medicine has a particular advantage in adopting ihis
model because it is less isolated
from the community than academic centres in larger centres. His
lalk was the third in a series of
anniversary lectures celebrating
the 30th anniversary of the medical school.